Manuel Masaganda Ferreras

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SL 1432 - 02-10-1988 Issued in CA

Legal business name

MANUEL MASAGANDA FERRERAS

Doing business as

All State Optical

Practice address

1131 N Vermont Ave Ste 101
Los Angeles, CA 90029

Phone

(328) 663-7511

Fax

(323) 663-1104

NPI assigned

Sep 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manuel Masaganda Ferreras

Title

Owner Optician

Phone

(323) 663-7511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• All State Optical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1427244060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "328-663-7511",
            "fax_number": "323-663-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "328-663-7511",
            "fax_number": "323-663-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL MASAGANDA FERRERAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "FERRERAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "MASAGANDA",
        "authorized_official_title_or_position": "OWNER  OPTICIAN",
        "authorized_official_telephone_number": "323-663-7511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL 1432 - 02-10-1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX003704F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manua Healthcare Foundation, Inc (Manua Healthcare)
• Bradley Edward Manubay, D.O.
• Venkat Sanjay Reddy Manubolu, MD
• Manuel Acevedo Medical Group, a Medical Corporation
• Manuel G. Domantaydds, Inc
• Carla Manuel-Gomez
• Carlon Laurence Manuel
• Gale M Manuel, LVN
• Isidore Ivan Manuel
• John E Manuel

• Optician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.